Outpatient office consultation, straightforward complexity at Mercy Perry

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

New/Est Office/OP Cnslt Sf 20-29 Min Pf

Perryville, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $120 is 9% above the median hospital's median price ($111), higher than 55% of the 1,109 hospitals reporting CPT 99242. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99242 at Mercy Perry

Negotiated rates from the hospital’s own file: 14 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
11	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
12	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
13	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
14	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
15	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
16	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
17	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
18	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
23	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
24	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	—	—	—	$178 – $178
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$196	$196	—	—	—	$196 – $196

Last updated: Mar 12, 2026

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